Discover our helpful tools and resources about epidemic and pandemic preparedness—on topics ranging from disease control to community engagement and accountability.

Brussels/Geneva, 30 March 2022 - An ambitious partnership between the International Federation of Red Cross and Red Crescent Societies (IFRC) and the Directorate-General for European Civil Protection and Humanitarian Aid Operations (DG ECHO) launched today aims to be a new model for the humanitarian sector. In response to the increasing number of crises arising worldwide, the pilot Programmatic Partnership “Accelerating Local Action in Humanitarian and Health Crises” aims to support local action in addressing humanitarian and health crises across at least 25 countries with a multi-year EU funding allocation. The partnership strengthens mutual strategic priorities and is built around five pillars of intervention: disaster preparedness/risk management; epidemic and pandemic preparedness and response; humanitarian assistance and protection to people on the move; cash and voucher assistance; risk communication, community engagement and accountability. European Commissioner for Crisis Management, Janez Lenarčič said: “I welcome with great hope the Pilot Programmatic Partnership with IFRC, a trusted EU partner who shares our vision of implementing efficient and effective humanitarian aid operations worldwide. The funding allocated for this partnership reaffirms the EU commitment to help meet the growing needs of vulnerable people across some 25 countries, in close cooperation with the Red Cross and Red Crescent National Societies. It also confirms our commitment to strategic partnerships with humanitarian aid organizations.” IFRC Secretary General Jagan Chapagain said: “Longer-term, strategic partnerships are essential to respond to the escalation of humanitarian crises around the world. We must respond rapidly, we must respond at scale, and we must modernize our approach to make impact. We know that the most effective and sustainable humanitarian support is that which is locally led, puts communities at the heart of the action, and is resourced through flexible, long-term and predictable partnership. The pilot Programmatic Partnership allows exactly that.” The Programme will begin with an inception phase in several countries in Latin America, West and Central Africa and Yemen. The main objective is to provide essential assistance to those currently affected by humanitarian crises, the consequences of the COVID-19 pandemic, climate-related disasters and conflict and to prevent loss of lives and suffering. Investment is also made to ensure communities are better prepared to cope with disasters through the implementation of disaster preparedness and risk reduction components. Working closely with its National Societies, the IFRC’s global reach combined with local action, its long history of community-driven humanitarian work and its Fundamental Principles, make it the partner of choice for this Pilot Programmatic Partnership with the EU. Following the first phase of implementation, the Programme aims to expand its reach and include additional countries around the world with the support of more EU National Societies. Key facts The 10 countries of implementation in the inception phase are: Burkina Faso, Chad, Cameroon, Mali, Niger, Yemen, El Salvador, Guatemala, Honduras and Panama. The seven National Societies from the EU working to support the implementation of the inception phase are: Belgian Red Cross (FR), Danish Red Cross, French Red Cross, German Red Cross, Italian Red Cross, Luxembourg Red Cross and Spanish Red Cross. For more information In Brussels: Federica Cuccia, [email protected] In Geneva: Anna Tuson, [email protected], +41 79 895 6924

Geneva, 27 December 2021 - “As we end this year, and on this International Day of Epidemic Preparedness, I would like to pay tribute to the brave and invaluable contributions of frontline responders. For the past two years, they have helped to detect and slow the spread of COVID-19, to treat and support those most affected, and dispel myths and rumours about the virus, vaccines and the wider response. They continue to support our communities worldwide. While some literally gave their lives to keep others safe, governments struggled, and are still struggling, to pull together a global coordinated and inclusive response. “Never before has the need for a localized approach to crises been so evident, but it cannot fall on the shoulders of local responders alone. The international community can, and must, do better by them. Unique opportunities to put communities at the centre of the response are laid before us in 2022, from the upcoming White House COVID summit and the launch of Global Vax to the reconvening of Member States to agree on an international instrument to strengthen preparedness and response to pandemics. We urge decision-makers to strengthen recognition of, and support to, community engagement and feedback mechanisms, community health systems and community surveillance and preparedness programs. “Public health emergencies are our past, our present, and we will face them again. Based on the IFRC’s years of experience in responding to health crises around the world, and on our network’s mandate to assist Governments with legal preparedness for disasters and public health emergencies, we stand ready to continue to support communities and respond to their needs.” For more information In Geneva: Ann Vaessen, +41 79 405 7750, [email protected] Learn more about our work in epidemic and pandemic preparedness.

“The pandemic has both thrived on inequities and exacerbated them. Any new legal instrument, be it a treaty or otherwise, must affirm a commitment to equity: equity in access to health services and care, equity in access to vaccines, data, diagnostics and other treatments, and equity in access to recovery efforts, including economic recovery. “Too often we neglect the important work of community-level responders. We need increased investments and coordination in programmes that put communities at the heart of the response. “This pandemic has made it clear that we need bold new solutions – both in international and domestic laws – to avoid the same mistakes happening again. “Public health emergencies are our past, our present, and we will face them again. The COVID-19 pandemic is not over, yet two years on we are still overly reactive and uncoordinated. Variants, like Omicron, will continue to emerge while the virus continues to circulate. Vaccine, data and knowledge equity are key to protecting the global population. “Based on the IFRC’s years of experience in responding to health crises around the world, and on our network’s mandate to assist Governments with legal preparedness for disasters and public health emergencies, we stand ready to strengthen this work. Whatever the outcome of these sessions, it must not only be powerful on paper, but it must also be transformative in reality.” For further information In London: Teresa Goncalves, +44 (0) 7891 857 056, [email protected]

The IFRC and our National Societies engage and train people worldwide in epidemic preparedness and response. We help them prevent, detect and quickly respond to outbreaks—saving countless lives and promoting healthier communities.

Preparing for disasters saves countless lives, speeds up people’s recovery and saves money. The IFRC supports National Societies to continually improve their local preparedness and response capacity—ultimately preventing and reducing the impacts of disasters on communities.

Epidemicsare an unexpected, often sudden, increase of a specific illness within a community or region.Pandemicsare when an epidemic occurs worldwide, crossing international borders and affecting a large number of people.A number of communicable diseasescan be significant health threats at the local, regional andglobal leveland leadto epidemics or pandemics. Epidemics and pandemics can be prevented and mitigated through a range of household and community measures, such as good hygiene, social distancing and vaccination.

By Olivia Acosta Prevention, preparedness, early action, and response to disasters and crises are at the core of the International Federation of Red Cross and Red Crescent Societies (IFRC). According to Mr. Jean Urbain Zoa, Secretary-General of the Cameroon Red Cross (CRC), one of the main challenges of the National Society is to be prepared for any emergency: “Better preparedness will help anticipate crises and disasters and build capacity to provide an integrated response. Preparedness can save lives, mitigate the severity of a crisis and engage the population and empower them to manage future disasters”. Local actors are best placed to reduce disaster risk and to take early action when disasters strike. The commitment of the CRC volunteers, who support their own communities during emergencies, is essential – but the organization doesn’t forget that they, too, might need help. “The Covid-19 pandemic has affected some staff and volunteers of our organization, but we are trying to give the best response to the increasing needs in the most affected communities”, said the Secretary-General. Indeed,nothing is the same since the pandemic arrived in Cameroon last year.Um Antoine, CRC first aid trainer,explains that“People in the communities are very afraid of Covid-19. They don’t want to be in touch with their neighbors to avoid contagion… the most disadvantaged people feel very lonely,some of themwithout any support or assistance”. Several NGOs and organizations that used to bring relief to the area have left. Still, Red Cross volunteers continue to respond to the outbreak, carrying out activities such as house and school disinfection and encouraging the population to practice handwashing and other protective measures. Volunteers also organize programs through community radio to ensure that information on reducing the spread of the pandemic reaches a large part of the population, and specialists are available to address questions from listeners. CRC also works to stop the spread of misinformation, which can be spread through rumors circulating in the community. In addition, community feedback is collected and analyzed to meet information needs evolving over time. Cameroon Red Cross is not just responding to the Covid-19 pandemic. CRC has been simultaneously responding to cholera outbreaks over the past year in the country. Through experience, the National Society knows the importance of detecting an epidemic before it spreads to save lives, protect livelihoods, and sustain long-term development. Well-trained and motivated CRC volunteers like Um Antoine visit members of their own communities, providing sensitization on the signs and symptoms of acute watery diarrhea, the seasonality of cholera outbreaks, and the need to report severe cases to volunteers or health centers as soon as possible.“We use available communication channels like megaphones, posters, social networks, and the radio to disseminate protection measures against cholera and raise awareness about transmission through contaminated food or water. We also work with the population to adopt hygiene measures to eradicate cholera from their communities”. To reinforce its response in the fight against Covid-19, cholera, and other emergencies, CRC must continuously strengthen the capacity of its volunteers and staff at headquarters and in branches. Over the past years, CRC’s leadership, management, and operational teams have discussed the importance of being prepared. According to Mr. Renauld Bodiong, Director of Cooperation of the Cameroon Red Cross: “The effectiveness of the response depends on the initial preparation of the National Society. Therefore, it is important, and even essential, for a National Society to engage in the Preparedness for Effective Response (PER Approach) that is an institutional approach to NS Preparedness to assess systematically, measure, and analyze its strengths and gaps response system to take action. Always trying to work from an effective, proactive and innovative perspective”. Upon request from the CRC, theInternational Federation of the Red Cross and Red Crescent Societies (IFRC),the Swedish and the French Red Cross joined forces to organize, as part of the PER Approach process, an assessment of CRC’s capacitytoprepare for andrespond to various types of hazards, and support the CRC with the identification of its existing strengths and opportunities for further development. The COVID-19 context posed a serious problem for the process to start, especially with the travel restrictions put in place as part of COVID-19 preventive measures everywhere. As facilitators could not travel to Yaoundé, the capital of Cameroon, due to travel restrictions related to Covid-19 in the first quarter of 2021, they provided technical support remotely from Canada, Greece, Russia, and Switzerland. Cameroon Red Cross branches don’t have internet access, and organizing interactive sessions remotely represented quite a challenge for all involved. Brand-new teleconferencing equipment was purchased and set up in Yaoundé, where 36 CRC participants were able to gather in a large meeting room, adhering to physical distancing recommendations. In addition, eight participants also got connected remotely from far regions of the country with the support of IFRC field offices. Over the course of 5 days, the National Society checked its capacity to prepare for and respond to various types of emergencies, conducted an in-depth analysis of strengths and gaps, and built consensus around key priorities which require urgent attention. These priorities will form the basis of a work plan and feed into the National Society's strategic and operational planning and fundraising processes. According to Bodiong, “It was very interesting to work online for the first time and be able to listen to everyone's input. For example, we identified that warehouses built in high-risk areas with pre-positioned equipment, well-trained volunteers, and adapted procedures would allow the CRC to respond effectively as quickly as possible to assist the victims of floods in many regularly affected departments of the far north region and prevent cholera outbreaks”. The Cameroon Red Cross is now using evidence and recommendations from the PER Approach to guide the continuous strengthening of its disaster management systems to be better prepared to respond to emergencies that may occur in the future.

The IFRC and our 191 National Societies striveto reduce illness and death, improve health and maintain people’s dignity during emergencies.Our emergency health team works to improvethequality, reliability, predictability andflexibilityof our health services around the world in preparation for emergencies.

Conakry/Nairobi/Geneva, 15 February 2021 –A network of more than 700 trained Red Cross volunteers has been activated as part of a first wave of response to the new Ebola outbreak in the rural community of Gouéké in Guinea’s N’Zerekoreprefecture. Drawing from theirexperienceduringthe2014–2016 West Africa Ebola outbreak,theRed Crossteams are rushing to contain further spread of the virus. MohammedMukhier, the International Federation of Red Cross and Red Crescent Societies’ (IFRC) Regional Director for Africa said: “Time is of the essence.The resurgence of the virus inGuineacomes at the worst possible time whenthe country isalreadyfacing theCOVID-19pandemic.There are reasons for fear, but there are also reasons for hope.While we are extremely concerned, we are also reassured bythelessons we learned from previous outbreaks, and by recent medical advances.” More than 11,000 people were killed duringthe worst-everEbola outbreak in history in 2014-2016. Mukhier said: “We need a response that is faster than the virus itself. Unless the response is swift, the health, economic and social impacts are likely to be immense for millions of peoplein a country witha relatively weak healthsystem, andwheremore than half of the population lives below the poverty line.” In response to this new outbreak, the IFRC and Guinea Red Cross have activated their “epidemicpreparedness and response network”in the country.Through thissystem, Red Cross teamshavebeen helping communities prepare and prevent the spread of diseases. Red Crossvolunteerswill provide services such as, contact tracing, psychosocial support, water, sanitation and hygiene and—if needed—safe burials. Guinea Red Cross has almost 2,500 volunteers across the country which gives it extraordinary reach into communities.

NEW YORK/ GENEVA, 12 JANUARY 2021: The four leading international health and humanitarian organizations announced today the establishment of a global Ebola vaccine stockpile to ensure outbreak response. The effort to establish the stockpile was led by the International Coordinating Group (ICG) on Vaccine Provision, which includes the World Health Organization (WHO), UNICEF, the International Federation of Red Cross and Red Crescent Societies (IFRC), and Médecins Sans Frontières (MSF), with financial support from Gavi, the Vaccine Alliance. The stockpile will allow countries, with the support of humanitarian organizations, to contain future Ebola epidemics by ensuring timely access to vaccines for populations at risk during outbreaks. The injectable single-dose Ebola vaccine (rVSV∆G-ZEBOV-GP, live) is manufactured by Merck, Sharp & Dohme (MSD) Corp. and developed with financial support from the US government. The European Medicines Agency licensed the Ebola vaccine in November 2019, and the vaccine is now prequalified by WHO, and licensed by the US Food and Drug Administration as well as in eight African countries. Before achieving licensure, the vaccine was administered to more than 350,000 people in Guinea and in the 2018-2020 Ebola outbreaks in the Democratic Republic of the Congo under a protocol for “compassionate use”. The vaccine, which is recommended by the Strategic Advisory Group of Experts (SAGE) on Immunization for use in Ebola outbreaks as part of a broader set of Ebola outbreak response tools, protects against the Zaire ebolavirus species which is most commonly known to cause outbreaks. “The COVID-19 pandemic is reminding us of the incredible power of vaccines to save lives from deadly viruses,” said Dr Tedros Adhanom Ghebreyesus, WHO Director-General. “Ebola vaccines have made one of the most feared diseases on earth preventable. This new stockpile is an excellent example of solidarity, science and cooperation between international organizations and the private sector to save lives.” UNICEF manages the stockpile on behalf of the ICG which, as with stockpiles of cholera, meningitis and yellow fever vaccines, will be the decision-making body for its allocation and release. The stockpile is stored in Switzerland and ready to be shipped to countries for emergency response. The decision to allocate the vaccine will be made within 48 hours of receiving a request from a country; vaccines will be made available together with ultra-cold chain packaging by the manufacturer for shipment to countries within 48 hours of the decision. The targeted overall delivery time from the stockpile to countries is seven days. “We are proud to be part of this unprecedented effort to help bring potential Ebola outbreaks quickly under control,” said Henrietta Fore, UNICEF Executive Director. “We know that when it comes to disease outbreaks, preparedness is key. This Ebola vaccine stockpile is a remarkable achievement - one that will allow us to deliver vaccines to those who need them the most as quickly as possible.” As Ebola outbreaks are relatively rare and unpredictable, there is no natural market for the vaccine. Vaccines are only secured through the establishment of the stockpile and are available in limited quantities. The Ebola vaccine is reserved for outbreak response to protect people at the highest risk of contracting Ebola – including healthcare and frontline workers. “This is an important milestone. Over the past decade alone we have seen Ebola devastate communities in West and Central Africa, always hitting the poorest and most vulnerable the hardest,” said IFRC Secretary General, Jagan Chapagain. “Through each outbreak, our volunteers have risked their lives to save lives. With this stockpile, it is my hope that the impact of this terrible disease will be dramatically reduced.” “The creation of an Ebola vaccine stockpile under the ICG is a positive step”, said Dr Natalie Roberts, Programme Manager, MSF Foundation. “Vaccination is one of the most effective measures to respond to outbreaks of vaccine preventable diseases, and Ebola is no exception. An Ebola vaccine stockpile can increase transparency in the management of existing global stocks and the timely deployment of the vaccine where it’s most needed, something MSF has called for during recent outbreaks in the Democratic Republic of Congo.” An initial 6,890 doses are now available for outbreak response with further quantities to be delivered into the stockpile this month and throughout 2021 and beyond. Depending on the rate of vaccine deployment, it could take 2 to 3 years to reach the SAGE-recommended level of 500,000 doses for the emergency stockpile of Ebola vaccines. WHO, UNICEF, Gavi and vaccine manufacturers are continuously assessing options to increase vaccine supply should global demand increase. Related links Ebola virus disease Ebola vaccines FAQ Video b-roll - Ebola vaccination in the Democratic Republic of the Congo, June 2019:https://who.canto.global/b/HBP7C Photo gallery:https://whohqphotos.lightrocketmedia.com/galleries/675/ebola-vaccine-stockpile Note - for media to access and download images from this gallery: 1. Fill out theWHO Permissions Request Formmentioning the internal ID number of the image(s), coma separated 2. Send an email [email protected] the ID number of the request. Within a few minutes you will be sent a download link Photos

Johannesburg/Geneva, 7 August 2020 – A senior Red Cross official has warned that South Africa needed to learn lessons from the country’s fight against HIV/AIDS to help curb the rise in the number of people testing positive for COVID-19, as the number crossed the half a million mark on 1 August 2020. South Africa is the worst affected nation on the African continent, and currently has the fifth highest number of people testing positive worldwide, after the United States, Brazil, India and Russia. Dr Michael Charles, the Head of the Southern Africa Country Cluster office of the International Federation of Red Cross and Red Crescent Societies (IFRC), said: “This is a time to look back and look at the experiences of the past. South Africa was really the epicentre for HIV/AIDS, and we learnt so much from it. Yes it took a while before we could get it up and running in terms of our prevention methods, in terms of stigma, and these are the examples and the lessons learnt that we can bring to the fight against COVID.” South Africa’s first COVID-19 case was confirmed on 5 March 2020. When the cases doubled every two days in the following three weeks, the country imposed an early lockdown, slowing the transmission. However, following the decision to ease the lockdown in July, the country has seen an exponential rise in cases, causing worldwide concern as it rapidly rose up the ranks of the world’s COVID-19 tally. As of yesterday (5 August), South Africa had reported almost 530,000 confirmed COVID-19 cases and almost 10,000 deaths. Last week, a record 572 deaths were recorded in the previous 24 hours. These figures have confounded analysts who cannot explain the high rise in numbers but relatively low numbers in death. South Africa has a far lower death toll than other countries that have fewer confirmed cases, for example the UK. Masks are still mandatory, strict government guidelines have been issued for hygiene practices on public transport like taxis, social distancing is promoted in all public spaces, bars and shebeens (informal drinking spots in townships) remain closed and gatherings like funerals prohibit more than 50 people at a time. Despite these measures, however, many South Africans within and outside the hotspots flout government prescriptions, with community feedback indicating that many believe the virus not to be real or not likely to affect them. Stigma is an ongoing challenge, with humanitarian actors quoting behaviour similar to that seen during the AIDS pandemic, when people would rather not test, than know they have COVID-19 and be stigmatised or ostracised. The IFRC’s Dr Charles said: “It is really our responsibility to stop stigmatising people who have COVID, stop harassing people within the communities because of COVID, and it’s time for us to get together and fight the cause together. It is only then that we can say that we are winning the fight. At the moment unfortunately we are not winning it because our numbers are going up and up but am sure that once we change our attitude, once we bring the lessons learnt from the past, that is when we will start to see the numbers go down.” Since the outbreak of COVID-19, the South African Red Cross has partnered with the Department of Health to support in screening, testing and contact tracing in key hotspot areas. Ongoing parallel hygiene promotion and behavior change messaging accompany all Red Cross activities to increase health awareness among the general public and targeted communities. Media Communication and Risk Communication and Community Engagement (RCCE) activities have been rolled out to the affected and non-affected communities by Red Cross volunteers. During lockdown, the Red Cross has been providing food to homeless people and other highly affected groups, with a focus on people living in informal settlements.

In many Ebola-affected areas, years of conflict has eroded basic services and created mistrust in the community. Many communities feel that the response is not addressing their broader humanitarian needs.On some occasions, this mistrust has led to confrontations. DRC Red Cross teams have faced incidents of violence and aggression from communities resisting safe and dignified burial protocols since the start of the Ebola outbreak in North Kivu. It is clear that some vulnerable communities do not trust Ebola responders, which stops them from accessing health care. There may be many more potential cases in communities that we are unaware of, who are not accessing lifesaving care and may be further transmitting the virus within their communities. Communities hold the key to responding to the Ebola outbreak. Without communities, Ebola cannot be eliminated. We need to listen to community concerns and fears, plan together with them and adapt our response in order to create trust and acceptance by humanitarian actors. Red Cross volunteers are playing a vital role in maintaining a strong dialogue with communities, ensuring questions, misbelieves and rumours are discussed and addressed regularly. In partnership with the US Centre of Disease Control, Red Cross volunteers are collecting rumours, suspicions and concerns into a first-of-its-kind feedback and tracking system that has coded over 394,000 feedback points.This is shared with the rest of the humanitarian community to help address fears and misinformation as well as adapt and change operational approaches, based on the needs of the community. Working with Ebola survivors to help tackle myths and rumours To help tackle the fear and mistrust associated with Ebola, Red Cross is also working with survivors. People like 25-year-old carpenter, Machozi, has an incredible story to tell — and an important message for his community. “This illness is real and it kills,” says Machozi, who just a few months earlier had contracted this lethal disease and survived. But he is now living proof that you can also survive. Machozi is one of many in the response efforts. Every day, volunteers are knocking on doors in the community, providing information on how to prevent, detect and respond to Ebola. They are hosting radio talk shows, setting up mobile cinemas andgoing house-to-house, sensitizing vulnerable communities, including people with disabilities, children and women’s groups. “We have to unite and work together to fight against Ebola,” he says. “Take me as living testimony. It is possible to save the community and survive Ebola if everyone, our young people above all, engage in sensitizing our communities to the idea that Ebola is not aconsidered a punishment or an invented disease. If everyone is involved, we can end this disease.” Engaging communities pays off We are seeing huge success when we address core community concerns. The success rate of Red Cross safe and dignified burials has remained consistently high at 80 per cent, while negative feedback has dropped over time as a result of quality community engagement work and changes in the Red Cross approaches based on feedback data. In addition, as a result of our community engagement, community resistance for safe and dignified burials have drastically declined from 79 per cent in the first two months of the operation to 8 per cent now. -- Special thanks to our generous donors: American Red Cross, Austrian Red Cross, Belgian Red Cross, British Red Cross, China Red Cross, Danish Red Cross, Finnish Red Cross, Icelandic Red Cross, Japanese Red Cross, Kuwait Red Crescent, Norwegian Red Cross, Monaco Red Cross, SpanishRed Cross, Swiss Red Cross, Canadian Red Cross, Netherlands Red Cross, Turkish Red Crescent, Government of Austria, Government of United Kingdom (DFID), European Commission (DG ECHO), Italian Government Bilateral Emergency Fund, Government of Norway, Paul G Allen Family Foundation, Government of Spain, Government of Switzerland, Government of Canada, The Dutch Government, USAID, Western Union Foundation and WHO.

By Leena Reikko, IFRC For the past several weeks, the Philippine Red Cross emergency healthcare unit in the Philippines have been tending to the youngest of patients, children and babies coughing with fever, and whose bodies and faces are covered in red rashes. In early February, the local authorities declared a measles outbreak and since then 355 people have died, most of them children under 5 years of age. But these patients are not the only ones at risk. Mothers treating their children in hospitals are now threatened by the same virus. “We are in an acute phase of a chronic humanitarian situation. It is not only one generation that missed the measles vaccination. While the mothers do not have antibodies to pass to their children, they themselves are at risk too,” says Gopal Mukherjee, the health programme manager with the International Federation of Red Cross and Red Crescent Societies (IFRC) in the Philippines. Many communities living in overcrowded barangays and in remote areas are also facing a challenge in getting to vaccination centers. Because of this, some parents push vaccinations to later dates, and even forget how important it is to vaccinate. This situation is worsened by the low level of immunity among communities in the Philippines, which makes the virus just as deadly after the peak of the measles crisis. While it is a contagious virus, measles can be easily avoided through vaccination. “My son was not vaccinated because we have been so busy. It has just not been possible”, says Rosaly Abitona, 35, while she comforts her one-year-old son, John Carl, who had fallen ill a day earlier and taken to hospital. The development of measles in the Philippines has been alarming. There was a 547 per cent spike from 4,000 cases of measles in 2017 to 21,812 cases in 2018. By the end of March this year, almost 26,000 people have been infected. The Philippine Red Cross with has carried out mass vaccinations in the worst-affected districts, immunizing more than 15,500 children to date. They are also running campaigns to raise awareness on the importance of vaccinations to stop this virus from spreading further.

Communities living along the porous borders of Uganda and the Democratic Republic of Congo (DRC) remain at high risk of the spread of Ebola. Thousands cross each day to sell and buy goods, tend to their farm and visit family and friends. With the epicentre of DRC’s largest Ebola outbreak only 100 kilometers away from the Ugandan border, it is crucial to contain and stop the virus from spreading. Uganda Red Cross, with support from the International Federation of the Red Cross and Red Crescent Societies (IFRC) has been scaling up its response to help prepare communities and to prevent the spread of the virus. Volunteers are in high-risk areas, sensitizing communities about Ebola – providing information about the virus, what they can do to protect themselves, and screening the thousands of individuals who cross the border each day. Community engagement through music, drama, and mobile cinemas have also been employed to reach thousands of people. “We would like to see communities that can easily detect diseases, potential epidemics and communities that can respond in case epidemics occur,” said Dr. Kasumba Joseph, Community Epidemic and Pandemic Preparedness Program Officer with the Uganda Red Cross. “Most importantly we want communities that can actually prevent these epidemics. We are doing this through our volunteers.” Karungi Shamillahis a Uganda Red Cross volunteer trained to educate families about Ebola and other health issues in her community.Photo: IFRC/Corrie Butler Halting the virus before its spread through a real-time mobile system Through Uganda Red Cross’ extensive network of community-based volunteers, a powerful surveillance system has been set up, in coordination with other actors and the Ministry of Health. This system helps stop the virus’ spread, detecting outbreaks before they happen. Uganda Red Cross has trained community-based volunteers to recognize the signs of potential Ebola illness and to alert the authorities for follow up and care of people with such signs. With the help of the ‘Kobo Collect’ Mobile App, these cases are logged and are instantly shared with local health authorities for rapid action. If a case is detected the person can receive prompt treatment and the disease can be contained. This enables the reporting of any epidemic alerts in real time with low costs and resources. “These communities being near the border are quite vulnerable. We have a lot of movement across the border, especially on market days, the risk of an Ebola outbreak is imminent,” says Kasumba, based in Bundibugyo. “We have now trained 50 community-based volunteers who are using this technology as a surveillance tool to help prevent the threat of Ebola in Uganda.” Only weeks after the training, volunteers have already started working in their communities where they hold sessions with community members and sensitize them about Ebola. Others, like Mugenyi Adam, have already sent out alerts to their supervisor. “I have so far sent two alerts to my supervisor. I am proud that the community trusts me already and in case of any suspicions, I am the first one they call. This is what makes me proud – the response is so, so fast.” He recalls one alert he submitted after conducting door to door community sensitization: “A lady called me and told me her grand-daughter was sick, showing some of the symptoms of Ebola. I called my supervisor and informed him about it. I was amazed to see a response in just 25 minutes. They checked on the girl, took her to hospital and fortunately she tested negative for Ebola. I kept checking on the family to ensure that they were doing the right hygiene practices. I am so proud, I believe I saved her life.” In Bundibugyo district, volunteers are conducting, what is called “passive” community-based surveillance. This means volunteers report alerts as they encounter them in the community while they conduct community health awareness activities. During large scale outbreaks, surveillance moves into an “active” phase where volunteers proactively reach out door-to-door ensuring alerts are quickly identified for a faster, more effective response. Community-based surveillance, on its own, is not enough: coordination is key Well before the community-based surveillance system was launched through the IFRC’s Community Epidemic and Pandemic Preparedness Program (CP3), significant coordination was done with stakeholders, including government ministries, health care workers, sectors for animal health, agriculture and environment, development partners, civil society, and the communities themselves. “We have been trained in this approach by the Red Cross and we have worked closely with them to tackle community epidemics in this region. Given that Ebola is the major threat at the moment, all efforts have been focused on prevention and preparedness because of our proximity to neighboring Congo where Ebola has already killed many people,” said Dr. Samson Ndyanabaisi, the District Veterinary Officer in Bundibugyo district. “The future of this project is very bright and the government always welcomes such support and collaborations.” Communities remain at the heart of preparedness With epidemics and pandemics continuing to take place around the world, it is increasingly important to ensure communities are prepared to respond in order to stop outbreaks early. Ebola is only one of the many health risks that IFRC’s CP3 is helping combat. The vision is that Uganda will use this as a model and continue to expand it to other epidemic and pandemic risks that are faced in the community, such as cholera or measles. “As the Red Cross, we’re very strong at mobilizing to support communities when something happens. We’re one of the first who are there to take action. But we can do better than this,” explains Abbey Byrne, Community Based Surveillance Delegate with the IFRC. “We’re also there before the epidemic. We can halt the spread instead of reacting once these diseases have already reached epidemic proportions.” There is no one who understands a community more than its own. When challenges arise, they are the ones best suited to come up with the solutions. During epidemics, these community members are the first to respond and can, ultimately, save lives. More about the CP3 programme Launched in 2017 with funding from the U.S. Agency for International Development (USAID), IFRC’s Community Epidemic and Pandemic Preparedness Program (CP3) scales up efforts towards global health security. The program strengthens the ability of communities, National Societies and other partners in 8 target countries to prevent, detect and respond to disease threats and play a significant role in preparing for future risks.